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176181 08/19/2009 CITY OF CARMEL, INDIANA VENDOR: 00352978 Page 1 of 1 ONE CIVIC SQUARE CHEMSEARCH CARMEL, INDIANA 46032 23261 NETWORK PLACE CHECK AMOUNT: $2,268.90 s1 CHICAGO IL 60673 -1232 CHECK NUMBER: 176181 CHECK DATE: 8/19/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4232100 642695 322.95 GARAGE MOTOR SUPPIE 651 5023990 645769 1,945.95 OTHER EXPENSES ORIGINAL Remittauce Address INVOICE CHEMSEARCH. REORDERS CALL: 1- 800 -527 -9921 CHEMSEARCH CORRESPONDENCE TO: 23261 NETWORK PLACE P.O. BOX 152170 FAX 1- 972 438 -0634 CHICAGO, IL 60673 -1232 IRVING, TEXAS 75015 www.CHEMSEARCH.com SOLD TO: SHIrrho 11u ACCOUNTS PAYABLE Electronic Funds Transfer CITY OF CARMEL (EFT) CITY OF CARMEL POLICE 3400 payments are encouraged 3400 1 131ST g POLICE CARMEL IN 3 CIVIC SQ 46032 To enroll please call CARMEL IN 46032 1- 800 -527 -9919 -x0831 Cust. Acct. No. Invoice No. Invoice Date Terms Sales Rep I Order No. Ship Date Customer P.O. No. -.50230520 1 642695 07 -22 -09 NET 10 DAYS 1 63136 1 0289@ 07 -21 -09 21059 Product Packaging Description Unit Price Qty Bilied Amount 5049 2DOZ NATURALIZER AEROSOL 154.50 2 DOZ 309.00 Merchandise State Tax Local Tax "Shipping Inv. Total Amount 309.00 1 13.95 322.95 IN Tax #003512371-001-3 Federal Id# 75- 0457200 CHEMSEARCH DIVISION OF NCH CORPORATION. ALL RETURNS, CLAIMS FOR ERRORS OR ADJUSTMENTS OF ANY KIND rstl RT nc an AhC__WTmR T1.1 11 i1A AF^PRR RF!'C TPT Mc.R('Hnt TS 1.1(1T Ar P..PTR.n MR WJT)40t" CN1R PRTOR Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee ChemSearch Purchase Order No. 23261 Network Place Terms Chicago, IL 60673 -1232 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 7/22/09 642695 payment for adhesive remover 322.95 Total I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6. ,20 Clerk- Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 Cht.mSearch IN SUM OF 23261 Network Place Chicago, TL 60673 -1232 322.95 ON ACCOUNT OF APPROPRIATION FOR police general ufnd Board Members Po# or INVOICE NO. ACCT /TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 1110 642695 321 322.95 bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except August 14 20 09 A wwe b 1 Signature Chief of Police Cost distribution ledger classification if Title claim paid motor vehicle highway fund ORIGINAL INVOICE CHEMSEARCH• CHEMSEARCH REORDERS CALL: 1- 800 527 -9921 CORRESPONDENCE TO: 23261 NETWORK PLACE P.O. BOX 152170 FAX 1- 972 438 -0634 CHICAGO, IL 60673 -1232 IRVING, TEXAS 75015 www.CHEMSEARCH.com SOLD TO: SHIPPED TO: PAULARNONE Electronic Funds Transfer (EFT) CITY OF CARMEL UTILITY CITY OF CARMEL UTILITY 901 N RANGELINE RU payments are encouraged CARMEL IN 760 3RD AVE SW STE 110 46032 To enroll please call CARMEL IN 46032 1- 800 -527- 9919 -x0831 Cus Acct. No Invoice No. I Invoice Date I Terms Sales Rep I Order No. Ship Date I Customer P.O. No. B0218959 645769 07 -30 -09 NET 10 DAYS 638B 03230 07 -29 -09 --Product Packaging- Amount Unit Priee iaty Billed 4278 6 CASE ND -66 (6X9# CASE) 289.00 6CS 1734.00 5498 1 DOZ FULLBACK AEROSOL 198.00 1DOZ 198.00 Merchandise State Tax Local Tax "Shipping I in Total Amount 1,932.00 13.95 1,945.95 IN Tax 003512371 -001 -3 Federal Id #75- 0457200 CHEMSEARCH DIVISION OF NCH CORPORATION. ALL RETURNS, CLAIMS FOR ERRORS OR ADJUSTMENTS OF ANY KIND MUST BE MADE WITHIN 15 DAYS AFTER RECEIPT OF GOODS. MERCHANDISE NOT ACCEPTED FOR CREDIT WITHOUT OUR PRIOR WRITTEN CONSENT. "DISTRIBUTION SERVICES INCLUDE SHIPPING 6. HANDLING CHARGES F.O.B. DELVD. Prescribed by State Board of Accounts City Form No. 201 (Rev 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show, kind of service, where performed, dates of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 00352978 CHEMSEARCH Purchase Order No. 23261 Network Place Terms Chicago, IL 60673 -1232 Due Date 8/10/2009 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/10/2009 645769 $9,945.95 Q hereby certify that the attached invoice(s), or bill(s) is (are) true and orrect and I have audited same in accordance with IC 5- 11- 10 -1.6 Date Officer i V OUCHER 096183 WARRANT ALLOWED °00352978 IN SUM OF CHEMSEARCH 23261 Network Place Chicago, IL 60673 -1232 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR I� Board members PO INV ACCT AMOUNT Audit Trail Code 645769 01- 7200 -02 $1,945.95 Voucher Total $1,945.95 Cost distribution ledger classification if claim paid under vehicle highway fund